AO Hook plate fixation for treatment of distal clavicle fracture and dislocation of the acromioclavicular joint.doc

AO Hook plate fixation for treatment of distal clavicle fracture and dislocation of the acromioclavicular joint [Abstract] Objective To observe the AO Hook plate fixation for treatment of distal clavicle fracture and dislocation of the acromioclavicular joint and the clinical effects of surgical methods. Methods of open reduction and AO Hook plate fixation for treatment of distal clavicle fracture and acromioclavicular joint dislocation in 42 cases. Results 42 patients were followed up for 6 to 18 months with an average of 11 months. According to the recovery of joint function after limb, according to Karlsson assessment of postoperative evaluation standard: A grade of 37 cases, B-class 5 cases, C grade 0 case. acromioclavicular joint without further dislocation, clavicle fractures healed, joint function recovered well, after removing the internal fixation of acromioclavicular dislocation without further cases. Conclusion AO Hook plate fixation of distal clavicle fracture and dislocation of the acromioclavicular joint is an effective and reliable method. [Keywords:] shoulder acromioclavicular joint dislocation fracture fixation in clavicular fractures Since March 2003 ~ July 2008, our hospital open reduction and AO Hook plate fixation for treatment of distal clavicle fracture and acromioclavicular joint dislocation in 42 cases results were satisfactory, are as follows. 1 Materials and Methods 1.1 General Information The group of 42 patients, 29 males and 13 females, aged 20 to 52 years, average 31.3 years old. Which distal clavicular fracture in 23 cases, the Neer fracture, acromioclavicular joint dislocation in 19 cases, the Tossy type. All for fresh blunt trauma, injury causes: road accident in 13 cases, fall injury in 11 cases, 10 cases of crush injury, a fall in 8 cases. no nerves and vessels combined injury. all unilateral, 27 cases of left and right in 15 cases. operative time was 2 to 5 days after injury. 1.2 Procedures With ipsilate